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#445 of 11K

A0426

Ambulance service, ALS, non-emergency transport, level 1

Ambulance service, ALS, non-emergency transport, level 1 is the #445 most-billed Medicaid procedure code, with $222.5M in payments across 2.4M claims from 2018–2024. The national median cost per claim is $104.69. Costs vary widely — the 90th percentile is $244.02 per claim, 2.3× the median.

Total Paid

$222.5M

0.02% of all spending

Total Claims

2.4M

Providers

1K

Avg Cost/Claim

$93

National Cost Distribution

How much do providers bill per claim for A0426? Based on 1K providers billing this code nationally.

Median

$104.69

Average

$129.41

Std Dev

$127.63

Max

$1,425.40

Percentile Distribution (Cost per Claim)

p10
$21.73
p25
$50.30
Median
$104.69
p75
$172.04
p90
$244.02
p95
$314.15
p99
$691.69

50% of providers bill between $50.30 and $172.04 per claim for this code.

90% bill between $21.73 and $244.02.

Top 1% bill above $691.69.

About This Procedure

HCPCS code A0426 (Ambulance service, ALS, non-emergency transport, level 1) was billed by 1K providers across 2.4M claims, totaling $222.5M in Medicaid payments from 2018–2024. This code was used for 1.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$104.69

Providers Billing

1K

National Spending

$222.5M

Avg/Median Ratio

1.24×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A0426

#ProviderTotal Paid
1American Medical Response Of Maricopa, Llc

Mesa, AZ · Ambulance, Land Transport

$13.9M
2Modivcare Solutions, Llc

Denver, CO · Transportation Broker

$11.5M
3American Logistics Llc.

St. George, UT · Transportation Broker

$9.5M
4Maricopa Ambulance, Llc

Phoenix, AZ · Ambulance, Land Transport

$8.8M
51336107838$5.0M
6Access2care Llc

Lake St Louis, MO · Transportation Broker

$4.7M
71992727663$4.1M
8Southwest Ambulance Of Tucson Inc

Tucson, AZ · Ambulance Land Transport

$3.3M
91962693697$2.8M
101316944846$2.7M
111467725911$2.6M
12Acadian Ambulance Service Inc.

Lafayette, LA · Ambulance Air Transport

$2.4M
131104922848$2.3M
141306887260$2.1M
151124056296$2.1M
161003156472$1.9M
171720046188$1.9M
181871597898$1.9M
19Allina Health System

Saint Paul, MN · Ambulance

$1.8M
201396714101$1.8M

Showing top 20 of 1K providers billing this code